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Flashcards in 00 CHF Deck (28):
1

What are the cornerstone treatment options for CHF?

Diuretic (usually loop), ACE-I (or ARB) and BB

2

What is the generic name of Lasix?

Furosemide (Loop)

3

What is the generic name of Vasotec?

Enalapril (ACE-I)

4

What is the generic name of Prinivil, Zestril?

Lisinopril (ACE-I)

5

What is the generic name of Accupril?

Quinapril (ACE-I)

6

What is the generic name of Altace?

Ramipril (ACE-I)

7

What is the generic name of Cozaar?

Losartan (ARB)

8

What is the generic name of Diovan?

Valsartan (ARB)

9

Clinical benefits of BBs are NOT considered a class effect, which BBs are recommended in the guidelines?

Carvedilol, Metoprolol succinate, Bisoprolol

10

Which type of BBs should be avoided in CHF?

Ones with ISA activity (CAPP)

11

What is the generic name of Toprol XL?

Metoprolol Succinate ER

12

What is the generic name of Coreg?

Carvedilol

13

When should an Aldosterone Receptor Antagonist (ARA) be added to standard therapy in CHF?

For patients who have progressed to functional class III or IV

14

What is the generic name of Aldactone?

Spironolactone

15

What is the generic name of BiDil?

Isosorbide Dinitrate/Hydralazine

16

When is BiDil indicated?

In self-identified black patients with functional class III or IV heart failure who are symptomatic despite optimal therapy with ACE-I and BBs

17

When is BiDil contraindicated?

With PDE-5 Inhibitors

18

What is the generic name of Monoket?

Isosorbide Mononitrate

19

How does Digoxin work?

Inhibits the Na/K ATPase pump which results in a positive inotropic effect (increase in cardiac output). It also exerts a parasympathetic effect which provides a negative chronotropic effect (decreases heart rate)

20

What is the generic name of Lanoxin?

Digoxin

21

What is the Digoxin therapeutic range for HF?

0.5-0.9 ng/mL

22

What is the generic name of Klor-Con?

Potassium Chloride

23

When is Potassium Chloride contraindicated?

(3): Severe renal impairment, Hyperkalemia, Oral solid dosage forms are contraindicated in patients with delayed or obstructed passage through the GI tract

24

What is usually done to treat someone who has Acute Decompensated Heart Failure (ADHF) presenting with Hypoperfusion?

IV vasodilators are contraindicated. May be necessary to initiate therapy with an IV inotropic drug such as Dobutamine, Dopamine, or Milrinone. DA is the DOC in HF patients with SBP < 90

25

What are the vasodilators used in ADHF?

Nitroglycerin, Nitroprusside, and Nesiritide

26

Why must Nitroprusside IV be protected from light?

It can degrade to cyanide (bag shows a blue-color), DO NOT use

27

What is the generic name of Natrecor?

Nesiritide (vasodilator)

28

When is the only time you would use Coreg 50mg BID (usually 25mg BID)?

When the patient is > 85kg